How to clear upper lip melasma? (photo)

I have melasma on my upper lip and can't seem to exfoiliate it away or get rid of it, tried IPL it helped but didn't complete, also my face doesn't go in the sun. Only fake tan if I need colour and even that shows up the "moustache" really bringing me down dealing with this, ANY treatment with proven results please advise. I'm devastated by this, it's so ugly and unfeminine... thank you so much

Doctor Answers 5

Melarase creams and Clear and Brilliant laser

Start with Melarase AM and Melarase PM creams followed by Clear and Brilliant laser to help with the pigmentation on the upper lip.


Dr. Karamanoukian

Los Angeles

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

The Picosure laser is the best for melasma and hyper pigmentation

the pico laser is a new and expensive laser that can do a great job in greatly improving and even getting rid of your hyper-pigmentation. What makes it so special is that it is 1000 times faster than any other laser.  - this means there is very, very little redness. you can treat your face, neck, declotte, hands and arms. 

david berman md

David E. Berman, MD
Sterling Plastic Surgeon
5.0 out of 5 stars 108 reviews

Treating melasma

One of my favorite treatment options for melasma is Cosmelan.  It is a treatment regimen that uses Hydroquinone and Retin A to target this stubborn pigment.  An in office evaluation is best to create a patient specific treatment regimen for your particular melasma.

Best of luck

David Stoker, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 50 reviews

Melasma treatment

I would recommend consulting a dermatologist and doing a chemical peeling with glycolic acid. It is normally a good treatment for melasma, multiple sessions may be necessary . Good luck.

Joseph Doumit, MD
Montreal Dermatologist
5.0 out of 5 stars 4 reviews

Treatment options for melasma

Melasma can not be completely cured, however effective treatment are possible. This is because your skin is extremely sensitive to UV and even the smallest amount can stimulate your pigment cells to produce colour. The mainstay of treatment is strict UV protection- hats, sunglasses and SPF every 4 hours.

I prefer to use a combination of creams and laser for melasma. Hydroquinone can be used (5-8%), along with vitamin A creams. I usually start my patients on laser (low dose Q switch or Picosure) a few weeks after they commence on creams. Another laser I use is the Clear and Brilliant in the Permea setting combined with creams.

In some cases I combine glycolic AHA peels, and in other cases I use a tablet called Tranexamic acid to help. Melasma treatments should be tailored to each patient.

All the best, Dr Davin Lim. Laser, surgical and aesthetic dermatologist. Brisbane, Australia 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 74 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.